ISSN: 2320-5407 Int. J. Adv. Res.

12(04), 347-350

Journal Homepage: - www.journalijar.com

Article DOI: 10.21474/IJAR01/18558

DOI URL: http://dx.doi.org/10.21474/IJAR01/18558

RESEARCH ARTICLE
ANGIOMATOUS URETHRAL CARUNCLE LEADING TO POSTMENOPAUSAL BLEEDING RARE
CAUSE: A CASE REPORT

Dr. Komal Vijayawargiya1, Dr. Apoorva Choudhary2 and Dr. Abdul Khalil Khan3
1. MBBS. MS [OBGY] FICOG, HOD CPS DGO Senior Consultant P.C. Sethi Hospital.
2. MBBS. DNB [GENERAL SURGERY] Fiages, Trained In Laparoscopy.
3. MBBS. CPS DGO Senior Resident P.C.Sethi Hospital.
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Manuscript Info Abstract
……………………. ………………………………………………………………
Manuscript History The Urethral Carruncle Is A Benign Vascular Tumor Which Usually
Received: 20 February 2024 Arises From The Posterior Lip Of The Urethal Meatus. It Represent
Final Accepted: 23 March 2024 The Most Common Lesion Of The Female Urethra And Occurs
Published: April 2024 Primarily In Post Menopausal Women.[1] Most Casesare
Asymptomatic, But Sometimes,Patients Feel A Lump Or Bleeding At
The Urethral . Symptoms Are Dysuria, Dyspareunia,
Hematuria,Retention Of Urine And Reraly A Sensation Of Pressure In
The Perineal Region.[2] Giant Urethral Caruncle Presenting As Genital
Prolapse.[3] And As A Cause Of Acute Urinary Retention.[2] Has
Been Described In Literature.

Copy Right, IJAR, 2024,. All rights reserved.

……………………………………………………………………………………………………....
Introduction:-
It Was First Described By Samuel Sharp The Urethral Caruncle Is A Benign Red Swelling That Protrudes Out Of
The Mucosa Of The Posterior Wall Of The External Urethral Meatus. It Is Uncommon Condition That Is Usually
Observed In Elderly Women After Menopause.

Case Report:
A 65 Year Old Female Presented To The Clinic With Bleeding On And Off Since 1 Year,H/O Hysterectomy
Done For Aub 25 Year Back. C/O Difficult In Passing Urine With Retention. Sometimes Passing Of Urine By
Manipulation. General Examination Was Unremarkable Except Soft Mass That Measures 3.0x 1.0x 0.5 Cm At The
Posterior Wall Of The External Urethral Meatus.[Figure 1]

Her Family History Was Unremarkable.The Bleeding Was Diagnosed Initially As Post Menopausal Bleeding.She
Was Counseled For Management Option And Underwent Surgical Intervention.She Was Booked For Day Care
Surgery,Her Bladder Was Catheterized With Folley’s Catheter Surgical Excision Of The Caruncle Was Performed
Under Spinal Anaesthesia Using Cautery, Urethral Tissue Measures 2.5x0.75x0.5 Cm Send For
Histopathological Analysis.The Patient Had A Good Recovery Post Operatively With No Complication.[Figure 2]

On Histopathological Examination,The Gross Specimen Revealed Hyperplastic And Papillomatous Urethral

Mucosa,The Submucosa Is Fibrotic And Shows Extensive Dilated Thrombosed Blood Vessel With
Neovascularization,No Evidence Of Any Invasive Malignancy.[Figure 3]

Corresponding Author:- Dr. Komal Vijayawargiya

Address:- MBBS. MS [OBGY] FICOG, HOD CPS DGO Senior Consultant P.C.
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Sethi Hospital.
ISSN: 2320-5407 Int. J. Adv. Res. 12(04), 347-350

Conclusion:-
Urethral Caruncle Is The Most Common Lesion Of Female Urethra And Is Often Observed In Post Menopausal
Women. It Consist Of Vascular Connective Tissue Loosely Surrounded With Transitional And Stratified Squamous
Epithelial Cells. The Most Important Risk Factor In Its Etiology Is Hypoestrogenemia.[4] They Are Inflammatory
Nodules Arising At The Posterior Lip Of The External Yrethral Meatus,Present As Solitary,Soft ,Raspberry Like
Pedunculated Tumor.[1] Urethral Caruncle In 32% Of Cases Are Asymptomatic When Present The Most Common
Symptoms Are Dysuria, Pain Or Discomfort,Dyspareunia And Rarely Bleeding.The Mass May Be Large And
Bleeds Easily.[5] Although The Initial Medical Treatment Is Topical Estrogen Cream And Anti-Inflammatory
Drugs,Symptomatic And Large Lesion May Be Surgically Excised.[2]

Declaration Of Patient Consent:

The Authors Certify That They Have Obtained All Appropriate Patient Consent Forms, In The Form The Patient
Has Given Her Consent For Their Images And Other Clinical Information To Be Reported In The Journal. The
Patient Understand That Their Names And Initials Will Not Be Published And Due Efforts Will Be Made To
Conceal Their Identify,But Anonyunity Cannot Be Guaranteed.

Pre surgery clip(figure 1)

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ISSN: 2320-5407 Int. J. Adv. Res. 12(04), 347-350

Post surgery clip [figure2]

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ISSN: 2320-5407 Int. J. Adv. Res. 12(04), 347-350

Figure 3:-

References:-
1. Cimentepe E. Bayrak O , Unsal A, Koc. A, Ataoglu O, Balbay Md, Et Al. Urethral Adenocaecinoma
Mimicking Urethral Caruncle. Int Urogyneccol J Pelvic Floor Dysfunct.
2. Coban S, B1y1k I. Urethral Caruncle Case Report Of A Rare Acute Urinary Retention Cause. Can Urol Assoc
J.
3. Hizli F, Cetinkaya K, Bilir G, Basar H. Giant Urethral Carancle Presenting As Genital Prolapse. Urol J.
4. Everett Hs, Williams Tj.Urology In The Female.In:Campbell And Harrison Urology.3 rd Ed Vol.3.
5. Conces Mr,Williamson Sr,Montironi R, Lopez Beltran A, Scarpellim, Cheng L, Et Al.Urethral
Caruncle:Clinicopathologic Features Of 41 Cases . Hum Pathol.

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